Job Title: Executive Claim Examiner
Job Responsibilities:
- Confirm coverage of claims by reviewing policies and documents submitted in support of claims.
- Analyze coverage and communicate coverage positions efficiently.
- Conduct, coordinate, and direct investigations into loss facts and the extent of damages.
- Direct and monitor assignments to experts and outside counsel.
- Evaluate information on coverage, liability, and damages to determine the extent of the insured's exposure.
- Set reserves within authority or make claim recommendations concerning reserve changes to the manager.
- Negotiate and settle claims either directly or indirectly.
- Prepare reports by collecting and summarizing information.
- Adhere to Fair Claims Practices regulations.
- Assist in training and mentoring specialists.
- Serve as a technical resource to subordinates and others in the organization.
- Review and approve correspondence, reports, and authority requests as directed by the manager.
- Participate in special projects or assist other team members as requested.
- Travel to mediations, trials, and conferences as required.
- Represent the company’s claims expertise on external panels and industry forums.
- Coordinate loss information for senior business stakeholders and present during monthly/quarterly business meetings.
- Contribute to the maintenance of claims guidelines and best practice procedures.
- Deliver construction claims technical training to colleagues and external contacts as appropriate.
- Ensure effective vendor and litigation management on claims with a focus on minimizing indemnity exposure and mitigating vendor and legal expense.
- Step in for the manager to assume managerial duties when the manager is unavailable or requires assistance.
Education and Experience Information:
- Juris Doctor (JD) Degree preferred.
- Must have or be eligible to receive a claims adjuster license.
- Successful achievement of industry designations (INS, IEA, AIC, ARM, SCLA, CPCU) or I-Lead or other Management Training.
- Minimum of 10 years of claims handling experience or an equivalent combination of education and experience.
- Experience handling high exposure construction bodily injury and property damage claims.
- Market-leading specialist knowledge within casualty construction lines.
- Expert policy language skills enabling accurate and consistent policy wording interpretation.
- Experience in negotiation, mediation, and arbitrations.
- Experience in conducting technical claims audits and effectively following up on findings.
- Ability to manage claims outside of the local jurisdiction where appropriate, including an understanding of laws and regulations.
- Strong senior stakeholder management experience, both internal (underwriting, distribution, actuarial, finance, and executive management) and external (brokers, major account clients).
- Ability to influence claims stakeholders and to effectively direct claims strategy.
- Ability to lead within a team environment.
- Strong presentation skills.
- Excellent written and oral communication skills.
- Strong analytical and problem-solving skills.
- Strong organization and time management skills.
- Ability to deliver outstanding customer service.
- Intermediate skills in Microsoft Office products (Excel, Outlook, PowerPoint, Word).
- Ability to work in a team environment.
- Strong desire for continuous improvement.
Salary Information:
The base salary offered for the successful candidate will be based on compensable factors such as job-relevant education, job-relevant experience, training, licensure, demonstrated competencies, geographic location, and other factors. The national average salary for the Executive Claims Examiner is $90,500 to $150,900 with 25% bonus potential.
Additional Information:
The company offers hybrid working schedules of 3 days in the office and 2 days remote. US Work Authorization is required, and the company does not provide visa sponsorship for this position, now or in the future. The company is a Fortune 500 company with over 60 offices in 20+ countries, focusing on insurance, reinsurance, specialist advisory, and investment operations. The company emphasizes supporting employees in living their lives to the fullest at home and work, offering competitive benefit programs, health, dental, and vision insurance plans, a 401(k) with employer match contributions, an Employee Stock Purchase Plan, PTO, corporate holidays, floating holidays, and parental leave.
Caution: Employment scams have been reported where scammers impersonate recruiters, sending fake job offers to steal personal information. All legitimate job postings and communications with the company will be through the company’s official channels.
The company is an equal opportunity employer and does not discriminate based on any protected characteristic. Reasonable accommodations are available for those requiring assistance during the application process.
